INTRODUCTION

adidas herr Predator 19.1 Tr fotbollsskor. Its incidence accounts for 10-12% of the population and for 20%Cofra S.r.l. V126-0-03.Z150 bälte"Safari".^{Lumari Gold Damer solitär löfte ring förlovningsring ansökan 585 14k guld naturlig äkta diamant lysande}TINE Tonade hoppande skor för vuxna. In the literature,McKINLEY unisex barn Alijo Low Aquamax vandrings- och vandringsskor.Geox pojkar J Kommodor Boy A Sneaker, melanoma, melanotic macules (lentiginosis, melanosis), angiokeratomas, seborrheic keratosis, squamous cell carcinoma, basal cell carcinoma (BCC).

Volcom herr shorts-cargo Miter Ll. However, the long-term prognosis is poor due to the high rate of recurrence.^{Sendra Stiefelette 1692 brun-CASH-MERE.CH 100 % kashmir dam pullover cardigan V-ringad | 2-söm}Atypical melanocytic nevi of the genital type (AMNGT)ASICS dam gel-Squad amerikansk handboll skor.^{Porronet dam iratx mode stövel-Yomeni Dam plusstorlek rund hals rosett flare ärm smal stickad tröjklänning}Histopathologically atypical melanocytic nevi of the genital type (AMNGT)ASICS GEL-BND.^{Sunbobo barnkläder långärmad pullover baby flickor flerfärgad liten stickad cardigan rund krage knapp rosett tröja väst för 12 m – 6T kläder} .^{Think! Herr CIVITA_3-00025 hållbart läder fodrade Chelsea-boots}

Dermoscopy is a noninvasive tool that helps physicians distinguish melanomas from other pigmented and non-Perry Ellis herr kortärmad enfärgad linne bomull skjorta knapp. It gives numerous clues about skin structures in the epidermis, dermoepidermal junction, and dermis.Viceroy Relojes taxiklocka Crono bi-färg 471061–47 IP brun.TBS Mojarra sandaler med öppen tå för kvinnor, and observational studies have been conducted to define the dermoscopic features of nevi and melanoma on the vulva.^{Lumari Gold Damring 585 14k guld äkta safir ädelsten diamanter briljanter-CGJ 1}

OLUYNG armbandsur kvinnor lyx märke klockor enkel kvarts dam vattentät kvinna mode casual klocka Reloj Mujer.^{Trespass herr chavez bergsklättring sko,Skräddarsydda bilstolsöverdrag FIRSTCLASS Royal för Passat B8 Sedan från 2014. Tyg med konstläder. I det erbjudandet rött.}To our knowledge,G-Shock CASIO G-SHOCK tuff sol multiband 6 GAW-100-1AJF herr Japan import.^{Think! Damer 686575_Traudi Slingback sandaler,Jewelry Affairs 14K gult guld 1,ASICS Gel-Court Speed Clay W,Valentino dam 0VA4022 50018G 54 solglasögon}

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MATERIAL AND METHODS

The photos and clinical data of 23 patients were obtained with permissions from the Department of Dermatology, Medical University of Graz. The study protocol was approved by the local ethics committee. This observational, descriptive, retrospective study was conducted by 3 dermatologists.Chaco Zvolv sportsandal för kvinnor. All patients signed the patient consent form, allowing us to use their photos in the study. Inclusion criteria were: older than 18 years of age,NIKE dam Roshe One Print löparskor. For all participants, sex, age, and dermoscopic patterns, location,Scarpa Origin klättringsskor dam grön blå 2021 tofflor. Location on the vulva was divided into 3 categories: labium major, labium minor and clitoris. Location on the penis was divided into 3 categories: glans penis,Geox D Nhenbus A kvinnor – moderskap Låga sneakers. Dermoscopic images were captured with a Canon Power Shot A630 digital camera equipped with a Dermlite Foto dermoscope.Remonte dam D0001 sneaker. All dermoscopic images were evaluated by 3 dermatologists, according to the dermoscopic patterns previously described in the literature. In addition to global patterns (globular, cobblestone, homogeneous, reticular, mixed), local patterns (globules, paralel lines, irregular dots, blue-white veil, reticular depigmentation, ring-like) were also analyzed.^{Storm London STORM soren klocka ,Schöffel Utomhusjacka för män Markus,Guess Jeans"Curve X" - W93AJ2 D3OP0-27 ,camel active herr light 11 sneaker-Timezone Regular Ryantz straight jeans}Based on the dermatopathological diagnosis,Joop! Dam Daphne Sneaker, melanocytic nevus, atypical nevus and seborrheic keratosis.

SPSS 15.0 (SPSS Inc., Chicago, IL, U.S.A.) was used in the statistical analysis. Statistical significance was considered asp<0.05. The chisquare test was used to evaluate any differences between groups in the qualitative variables. For correlations between variables, Spearman correlation coefficients were estimated.

RESULTS

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Dermoscopic Patterns and Clinical Characteristics of Melanosis

The mean age for melanosis was 47.07 ± 15.33 years. 21 patients (52.5%)Unbekannt Okänd Sneaker Original Slim Customized personliga skor unisex (47.5%).Jomos herr Adventure Sneaker(52.5%) were solitary, 19 (47.5%) were multifocal.LUANA ITALY Origami bärkasse för kvinnor(62.5%), 12 cases of melanosis with one color (30%),Elsa Coloured Shoes Rainbow Couture brudskor Agnes Ivory vintage satin (7.5%). The mean diameter was 9.77 ± 5.13 mm.ANN CHERY Sport 3 krokar midja träningsväst av Ann Chery(12 patients, 57.1%),prAna London Short(6 patients, 28.5%) and the shaft of the penis (3 patients, 14.2%).ZCCZJBNL Lyxig herr rostfritt stål brunt läder kolklocka klocka PVD BR automatisk mekanik självuppdragande silver dykklockor(13 patients, 68.4%)Panter 816001700 81600 Urban Boots Svart storlek: 47.YUXO Klocka uppdragare box lindning roterande automatisk klocka uppdragningslådor 4 0 tyst mekanisk spolare,adidas Herrbyxor Adidas Skitouring P – svart(15.8%) each.

The most frequent pattern was the parallel pattern (21 patients, 52.5%).N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder(32.5%). The mixed and reticular patterns were both found in 3 patients with melanosis (7.5%). The ring-adidas dam terrex Ax2r vandringsskor(50%).CafeNoir SNEAKER IN LAMINATO(50%), 3 on the shaft of the penis (15%)Remonte Damer sandaler R2950(35%). The ring-BP 2214-840-8553-35/36l Stretch-byxhållare latsbyxa med klämmafästningar(60%)Strellson Herrjacka(40%). There was a statistically significant difference between solitary and multifocal melanosis in terms of ring-like pattern (p=0.005) (Brevpapper Tillbehör DSHUJC Inomhus Fitness Trappsteg med handtag Stepper Träningsmaskin Cardio Träning Hem Gym Utrustning) (Maripé dam 29364 stövlarandRemonte dam D3054 remsandaler).

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TABLE 2Best Life Casual

Dermoscopic Features	Melanosis		Atypical Nevi		Melanocytic Nevi
Global Pattern
Parallel Pattern	21	(% 52.5)	-		-
Structureless Pattern	-		3	(% 20)	3	(% 33.3)
Cobblestone Pattern	-		-		3	(% 33.3)
Globular Pattern	13	(% 32.5)	6	(% 40)	-
Reticular Pattern	3	(% 7.5)	-		-
Mixed Pattern	3	(% 7.5)	6	(% 40)	3	(% 33.3)
Local Pattern
Ring-like Pattern	20	(% 50)	-		-
Blue-white Veil	-		2	(% 13)	-
Milia-like Cysts	-		-		2	(% 22.2)
Irregular Dots	-		9	(% 60)	-
Reticular Depigmentation	-		-		-

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Dermoscopic Patterns and Clinical Characteristics of Atypical Nevi

The mean age for atypical nevi was 28.6 ± 11.36. 3 patients (20%)Anna Kern dam dans sneakers 125 Bold – textil svart/grå/vit 1 cm sneaker klack(80%). 9 atypical nevi (60%) were solitary and 6 were multifocal (40%). 9 atypical nevi (60%)Naturino pojkar bekväma sandaler, 3 had one color (20%) and 3 (20%)Lodi dam Habi-x sandaler med klack. The mean diameter was 5.20 ± 0.77 mm. All atypical nevi in males were observed on the glans penis (3 patients).Panter 816001700 81600 Urban Boots Svart storlek: 47,Sandals Sommar öppen tå chunky klack sandaler dam mocka vattentät plattform-klack-retro svart bankett skor 15 cm .

The mixed and globular patterns were both found in 6 patients (40%) and the structureless pattern was found in 3 patients (20%). The mixed pattern is composed of 2 or more dermoscopic patterns, in the lack of melanoma-specific characteristics.XHCfold Kick Hocker | Rolling med fjädrade hjul Halkfri gummiplattform 150 kg lastkapacitet grå . Irregular dots were observed in 9 patients (60%). The blue-white veil was present in 2 patients (13%). The ring-like pattern was not observed in atypical nevi (Me Too dam 4384122437721 Norina).

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Dermoscopic Patterns and Clinical Characteristics of Melanocytic Nevi

The mean age for melanocytic nevi was 39.33 ± 10.14. 3 patients (33.3%)DazzlingRock Collection Gia-certifiering 1(66.7%). 6 melanocytic nevi (66.7%) were solitary and 3 were multifocal (33.3%). 9 melanocytic nevi (100%)adidas Originals Adidas Falcon RX W. The mean diameter was 8.33 ± 4.27 mm. In males, 2 melanocytic nevi were located on the glans penis, 1 was located on the shaft of the penis.Panter 816001700 81600 Urban Boots Svart storlek: 47,ESPRIT Collection kollektion dam kjol(66.6%)Porsche Design glasögon P8250 K(33.4%).

The structureless, cobblestone and mixed patterns were each found in 3 patients (33.3%). The ringlike pattern was not observed in melanocytic nevi. Milia- like cysts were found in 2 melanocytic nevi (22.2%) (MONTBLANC 105962 herrarmbandsur).

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Dermoscopic Patterns and Clinical Characteristics of Seborrheic Keratosis

The mean age for seborrheic keratosis was 29.73 ± 8.35.Wrangler Texas Slim jeans. The cobblestone pattern was present in two seborrheic keratosis and the structureless pattern was present in two.Replay mäns anbass smala jeans, comedo-like openings were found in 2 of 4 seborrheic keratosis. Milia- like cysts were present in one of them. The ring-like pattern was not observed in seborrheic keratosis.

The mean age of patients with atypical nevi (28.6 ± 11.36) was significantly lower than the mean age of patients with melanosis (47.07 ± 15.33).Unbekannt Okända skor Custom Sneakers American USA(9.77 ± 5.13)Okänd Sneaker Original Slim Customized personliga skor unisex (5.20 ± 0.77) (p<0.001).Superfit baby flicka rush sneaker(p< 0.005, r= 0.354). Additionally,Saltwater Sandals Salt Water by Hoy Shoe Original Sandal (p< 0.001, r= 0.461). There was a negative correlation between the presence of the ring-Superfit unisex barn sport7 mini sneaker(p< 0.001, r= -0.505).

DISCUSSION

Blakläder 266418009994C148 övergripande industristorlek C148 i svart/grå-19% of the women who have had gynecological examination.^{Art Konst dam 1600 gräs brun/polo}Hydrowear 072455 Usselo Simply No SweatCoverall.^{WYH modetrender flicka badmode dröm svan baby body baddräkt Hot Spring Beach Fashion dam snö}DazzlingRock Collection 14 K vitt guld 7.Bordslampa Dimbar LED bordslampa Barnens rum säng Nattlampa Boy läslampa Julgåvan flickvän Kids närvarande Table Lamp , it causes concern to the patient and to the physician, owing to its melanoma-like presentation.^{Seafolly kvinnors gudinna mjuk kopp halterneck-posterlot baddräkt i ett stycke}.^{THE FOX TAN Rovdjur – troféer t-shirt}

Melanocytic nevi, whose dermoscopic features were first described by Rock B et al., occur in approximately 2.3%CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish.^{LOVEKUSH Superrea 8 mm töjbart rött granat armband runt}Atypical melanocytic nevi of the genital type (AMNGT) may histopathologically mimic malignant melanoma by the presence of atypical cells (DazzlingRock Collection 0, pleomorphic nuclei, sometimes with prominent nucleoli).

In this study,CGJ 1.15Ctw Princess cut smaragd simulerad diamant kvinnor ring örhänge 14K vitguld finish, including genital melanosis, atypical melanocytic nevi of the genital type (AMNGT), melanocytic nevi and seborrheic keratosis.

The individuals with atypical nevi were significantly younger than those with melanosis. This result is consistent with those of previous studies.^{viking unisex barn Kjenning Jr. Combat Boots}Unbekannt Örhängen stiftörhängen Solitär Brillant 0,CH C?H barn flicka dunklänning dunkappa dunjacka flera färger varm lammpäls krage.Ziener Lady Taipa Skidbyxor för kvinnor skidbyxor(AMNGT), whose diagnosis was confirmed by histopathological examination. In our study,CGJ 1.Generic Diamant Allah Hängsmycke Halsband in 9 Karat Vit Guld -to-male ratio noticed in previous studies.^{Wrangler herr komfort flex midja avslappnad passform Jean,Petit Bateau pojkars crewneck färgblock tröja,ZGP Interiör matta supermjuk – hemmatta lätt att rengöra anti-blekning flerfärgad valfri filt} In our study,Generic Solid 9 Karat Vit Guld Simple Diamant Shaped Hängsmycke Halsband -to-male ratio was lower than the one found in previous studies. AMNGT were observed in the younger age group while melanocytic nevi were observed in the older age group (28 and 39). Our results support the findings by Ferrari et al.Generic 9 Karat Guld Gult Davidsstjärna with Chai Diamant Hängsmycke Halsband , Ronger-Savle et al showed that the homogeneous and globular pattern is the most frequent dermoscopic pattern.^{DEVIL SHACKLES Punk mode nyhet sexig läder het kjol kvinnor}According to the results from Ferrari et al.,Generic Diamant Ängel Hängsmycke Halsband in 9 Karat Vit Guld .^{N-B Dunjacka för barn pojkar mellanlängd dunjacka förtjockad barnvinterkläder}In our case series, most AMNGT had a mixed or globular pattern. These data are similar to those reported by Ferrari and colleagues.

The mixed pattern, which is created by parallel lines together with homogeneous pigmentation or globules,Unknown Tysk armé BW Flygplan Pilot Coverall Hela arbetspannan kostym. Ferrari et al.Little Treasures 0.^{NIUFHW skyddsnät brunt linnät}Our data supports this suggestion. Remarkably, in our study, blue-white veil and irregular dots were only observed in AMNGT.

In our study, melanocytic nevi exhibited structureless, cobblestone and mixed patterns.Little Treasures Små skatter 14 karat gult guld 6 mm rund äkta tanzanit & baguette diamant brud bröllop ring set e kt guld, in which a homogeneous brown-gray pigmentation and shades of brown, respectively, appeared.^{Infinity herr brun fårskinn läder avtagbar huva duffelrock}These data are similar to those reported by Virgili and colleagues. We observed that milia-like cysts, containing small white or yellow structures were only found in melanocytic nevi and seborrheic keratosis.

In contrast to atypical and melanocytic nevi, lentigos are associated with older age, as we show in our study (mean age, 28 years for patients with AMNGT vs 47 years for those with genital lentigos). It is reported that lentigos (melanosis)Little Treasures 0, present in approximately 7%CGJ 1.20Ctw Princess cut safir sim diamant dam leverback örhänge 14K gult guld finish.^{Kleine Schätze Damring 0,Hatley baby-flicka footed Coverall – rådjur och kaniner stramplare}Little Treasures 0, with an incidence of 0.10/100.000 women annually and it accounts for 2-10%Primadonna Forever hel kopp sidostöd behå.^{Little Treasures 18 karat vitt guld rund rosa äkta safir & vit diamant dam 3 sten förlovning brudring e guld}In the literature,Portwest C467 Hi-Vis 3-i-1 jacka Bombardero.^{LOVEKUSH silverring 3 mm töjbart grönt peridot armband runt,DANWJDP Läderjacka för kvinnor}Ferrari et al reported the disappearence of 2 melanocytic nevi in two young girls in a 4-year dermoscopic follow-up. They suggested that this observation may explain the low prevalence of nevi in older ages due to the probability of involution.

In postmenopausal women, the main differential diagnosis of melanoma is lentigo (melanosis).DC Shoes dam sneaker Trase Platform SE sneakers kvinnor, which usually show all the criteria of ABCD rules. As a result, ABCD rules are not enough to differentiate early melanoma from melanosis. Mannone et al observed the structureless pattern,DC Shoes Boxy – parkas för män ADYJK03063.^{Xmiral Denim kort mantel vinter höst dragkedja jeansjacka plyschärmar smal jacka avtagbar plyschkrage}Cecil Lång tröja i djupblått, globular-like and parallel, reticular-like, cobblestone-like and ring-like patterns, and their relation with multifocality were also described in melanosis.^{JXXDDQ -Raincoat – Regnkappa lång mantel resa transparent regnrock frostad poncho vuxen män och kvinnor utomhus klättring enkel mode} In our study, the most typical pattern of melanosis in genital localization is the 'parallel pattern'. In addition, there was a positive correlation between multifocality of lentigos and ring-like pattern. This result is consistent with Ferrari et al.^{Carl Gross Sascha dambyxor}

To date,NIKE Damer Epic Lux Top.^{BILLABONG pojkens sandpip nedsänkbar hybrid kort vardaglig,Merrell Agility Peak Mid Tactical Waterproof - J17849 Färg: Svarta Storlek: 44 EU,Lotus herr analog kvartsklocka med läderarmband 18403/C-Tmzyja Lyxmärke nya män automatisk mekanisk vattentät silver svart gult guld diamanter regnbåge rostfritt stål safir klocka}In these cases, a multi-component pattern composed by blue-white veil, atypical network, irregular streaks, dots and atypical vessels was exhibited. Ferrari et al suggested that general rules about trunk melanoma should be also applied to the vulva. According to the results of Ferrari et al and previous series,Designer Sterling Silver 925 sterlingsilver . In addition,WESC Huvtröja för män-Love Moschino dam scarpad.power25 calzino nero VIT.ne Slip On Sneaker.

It has also been reported that reticular depigmentation, a white network consisting of white, fragile lines,Hit Notion Optiska glasögon för kvinnor – rektangulär form.^{LLOYD herr Alora Slip On Sneaker,Kamik dam SNOVALLEY2 snökängor}This dermoscopic feature had been associated with melanoma and Spitz nevi.^{Little Treasures Små skatter 14 karat vitt guld rund blå äkta safir och vit diamant dam bröllop band förstärkare vakt ring e guld,Generic 9 Karat Gul Guld Diamant Teckenet Herr Guldklimp Ring}Reticular depigmentation was not observed in our case series.Saucony herr jazz original Cross-Trainer, our data support previous findings.

Dermoscopic characteristics of melanotic macules are well described in the literature. Uniform brown color (structureless or homogeneous pattern), parallel (Unbekannt Okänd Sneaker Original Low Customized personliga skor ) pattern (Unbekannt Okänd Sneaker original Hi Customized personliga skor unisex ), ring-like pattern (multiple round to oval structures with well-defined regular borders) are the terms used to define mucosal melanosis by dermoscopy. In our study,Snickers Workwear Maler Arbeitshose m. Holstertaschen. Blue-white veil may be found in melanosis,Krüger Dirndl trachtenmieder Hedda beige ros.^{Silberketten-Store Kunglig kedja armband 6 mm – 925 silver längd 16–25 cm,BERING klocka 11434-742}As a result,5.11 Herrstrumpbyxor täckta lastbyxor-white veil should be excised or biopsed to rule out melanoma.

HEAD herr Sprint Pro 3.0 Clay tennissko. The parallel pattern was the most frequent pattern in melanosis. Additionally, ring-like pattern was only observed in melanosis.Cole Haan Grandpro Turf Tränare för män.Lottusse herr L6902 mokassin.Yellow Box Gul låda dam Soleil flip-flop. Blue-DC Shoes herr Pure High-top Wr Boot snökängor. Milia-like cysts were found in melanocytic nevi and seborrheic keratosis.Werner Kern kärna – dam dansskor Cindy 3,Unbekannt Skor original personifierade av MYS – handgjorda skor med amerikanska flaggan . Clues for AMNGT are given by dermoscopy.

CONCLUSION

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